Aktivitas Fisik Intensitas Tinggi dan Risiko Exertional Rhabdomyolysis pada Prajurit Militer: Tinjauan Literatur
DOI:
https://doi.org/10.31004/joecy.v6i1.8953Keywords:
Aklimatisasi, Dehidrasi, Exertional Rhabdomyolysis, High-Intensity Exercise, Military TrainingAbstract
Latar belakang: Aktivitas fisik intensitas tinggi dalam pembinaan prajurit militer meningkatkan risiko exertional rhabdomyolysis, sindrom kerusakan otot yang berpotensi menyebabkan gagal ginjal akut akibat pelepasan kreatin kinase dan mioglobin. Tujuan: Meninjau hubungan aktivitas fisik intensitas tinggi dengan risiko rhabdomyolysis pada prajurit militer, termasuk patofisiologi, faktor risiko, dan pencegahan. Jenis dan metode: Narrative literature review kualitatif dengan pencarian sistematis di PubMed, Google Scholar, dan ScienceDirect (2019–2025). Populasi: Artikel ilmiah relevan tentang rhabdomyolysis militer; sampel: Puluhan artikel purposive (studi observasional, kasus, tinjauan). Instrumen: Protokol kata kunci dengan operator Boolean; analisis: Sintesis naratif tematik. Hasil: Faktor risiko utama mencakup peningkatan beban mendadak, dehidrasi, panas ekstrem; insiden tinggi pada pelatihan dasar dengan peningkatan CK signifikan. Kesimpulan: Pencegahan melalui progressive overload, hidrasi ketat, dan monitoring lingkungan esensial untuk menjaga kesiapan operasional, meskipun diperlukan studi lokal TNI.
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